HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /- h
Date: June 24, 2016 SCANNED Permit Number: �y
IV . Dy�
BY
St. Lucie County RECEEVE®
Building Permit Application JUL - t 2016
Fanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete
Commercial x Residential
P.ROPQSED IMPROVEMENT LOCATION:
Address: 10600 South Ocean Drive, Jensen Beach, Florida 34957
Legal Description: A CONDOMINIUM COMPRISING A PART OF N 1/2 OF GOVT LOT 4 SECTION 11 TOWNSHIP 27
RANGE 40 LYG E OF STATE RD A1A MPD
Property Tax ID #: 4511-517-0000-000-8
Site Plan Name:
Project Name: Oceana South Condominium II
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Concrete restoration and repairs for Units 101, 109, 410, 510, 610, 710, 801 and 1110) at7d y07,
l�i;CONSTRUCTIONINFORMATION"' '
u
OHVAC u Gas Tank ❑Gas
11 Electric 0 Plumbing []Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 1=0, 000• n O
uu—uic�n au apply.
Piping _ Shutters
nklers ❑ Generator
_ S Ft. of First Floor: _
Utilities:cnSewer D Septic
Windows/Doors
Roof
Building Height:
;OWNER/LESSEE
CONTRACTOR:;..,
NameOoeibia0
✓I
Name: r-\
Addreessis": 0 o-th YI Ve.
Company: tv it t C_f1m� t DLOY, / ,.
_Cx
City: 1C+LSCf'I I Ca6kl State:
Zip Code:t{&157 Fax:%7$)�7�I' 14 I I
Phone No.719
Address: "b-44- VS t"/ �� L19
city:-- t9-It^'� GL l r/ State: Fy
Irl
Zip Code: gyqao Fax: 77 �L 110 06 y
Phone No. 7 S- 6
E-Mail:OJ anaQeY@ wncast-• net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: �� S % (` 4D /, (ilz.—j
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
e N
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Maihera Engineenng CorpomVon Name:
Address: 2431 SE Dixie Highway Address:
City; STUART State: rt City: State:
Zip; 34996 Phone: 772-2e7-0525Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone. Zip: one:
I certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement. n
lie 64Qqv/
_ Signature of Owner/ Lessee/Agent S gnature of on� or/License Holder
STATE OF FLORIDA Qt 1 ,{G, � � STATE O F ORID .
COUNTY OF C� l G
The for ing instrument was acknowledged before me The forgoing instr� nt was acknowledged before me
this `Xdayof i—u{%e 20�by this?0 day of C} Ll t�r'P ,20 L�-by
(Name of person acknowledging) (Name of persn ackno5ledging )
QVC0 462i2!2M M
(Signature of Notary Public -State of Florida) (Signature of W64Public-State
Personally Known I/ OR Produced Identification
Type of Identification Produced
��
Commission No.-��2.2.0 %7-] MYCOMIANA
MIIss
Revised 07/15/2014
Personally Known OR Produced Identification
Type of Identification Produced f c, Ori V2fS (,i cEp
rum
l Fcl833 *ernue
rin sion No. --
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2ol inn State of b
Comnfton
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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COMPLETE
INITIALS